开胸术围手术期发生压疮的调查分析  

Investigation and analysis in incidence of pressure ulcer during perioperation of thoracotomy

作　　者：韩静[1] 康晓凤 张海英[1] 赵立森[1] 穆松惠[1] 王隽[1] 王秀军[1] 

机构地区：[1]首都医科大学附属北京胸科医院,101149 [2]北京协和护理学院

出　　处：《中国实用护理杂志（中旬版）》2010年第7期23-25,共3页Chinese Journal of Practical Nursing

摘　　要：目的通过对胸外科围手术期压疮危险因素的评估，准确及时采取护理措施，预防压疮发生，提高护理质量及患者的生存质量。方法应用压疮危险因素评估量表对100例开胸术后患者发生压疮的情况及危险因素进行调查，比较相关因素对压疮发生率的影响。结果单因素分析显示，术前吸烟、白蛋白含量、术后翻身时间延长对压疮发生有显著影响。结论开胸手术患者是院内压疮发生的高危人群，手术当天至手术后第3天为术后压疮预防的关键时期。Objective To adopt accurate and prompt nursing measures to prevent incidence of pressure through evaluation of risk factors of pressure ulcer during perioperation of thoracotomy, in order to increase nursing quality and life quality of patients. Methods The incidence of pressure ulcer in 100 patients after thoracotomy and its related risk factors were investigated by application of pressure ulcer risk factors evaluation scale, and the influence of related factors on incidence of pressure ulcer was com- pared. Results Single factor analysis showed that preoperative smoking, albumin content and prolonged postoperative turning over time had significant influence on incidence of pressure ulcer. Conclusions Patients after thoracotomy are high risk population of pressure ulcer. The pivotal period for ulcer prevention is from the operation day to 3 days after operation.

关 键 词：开胸术 压力性溃疡 危险因素 

分 类 号：R473.6[医药卫生—护理学]